Healthcare Provider Details

I. General information

NPI: 1568543973
Provider Name (Legal Business Name): LORA DANIELLE ORTEGA MSW, LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 S MASON MONTGOMERY RD UNIT 100
MASON OH
45040-7892
US

IV. Provider business mailing address

2139 AUBURN AVE
CINCINNATI OH
45219-2989
US

V. Phone/Fax

Practice location:
  • Phone: 513-770-0330
  • Fax: 513-770-2106
Mailing address:
  • Phone: 513-351-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: